Impaired PPARγ activation by cadmium exacerbates infection-induced lung injury

Jennifer L Larson-Casey1, Shanrun Liu2, Jennifer M Pyles3

  • 1Department of Medicine, Division of Pulmonary, Allergy, and Critical Care Medicine.

JCI Insight
|March 17, 2023
PubMed

Insights

Environmental heavy metal exposure, like cadmium, worsens lung infections by inhibiting PPARγ (peroxisome proliferator-activated receptor gamma) in lung macrophages. This pathway exacerbates lung injury and increases infection severity.

Area of Science:

  • Environmental Health
  • Immunology
  • Molecular Biology

Background:

  • Emerging evidence links environmental heavy metal exposure to lung diseases, including lower respiratory tract infections (LRTIs).
  • Lung macrophages play a critical role in the immune response to infection and environmental insults.

Purpose of the Study:

  • To investigate the role of peroxisome proliferator-activated receptor gamma (PPARγ) in cadmium-induced exacerbation of LRTIs.
  • To elucidate the molecular mechanisms by which cadmium and infection impact PPARγ activity in lung macrophages.

Main Methods:

  • Single-cell RNA sequencing was used to analyze gene expression changes in lung macrophages.
  • Experiments involved mouse models of Streptococcus pneumoniae infection and cadmium exposure.
  • ERK activation and PPARγ degradation were assessed in monocyte-derived macrophages.
  • Pharmacological inhibition of ERK activation was tested.
  • Human bronchoalveolar lavage (BAL) cells from individuals in high cadmium areas were analyzed.

Main Results:

  • Cadmium exposure and S. pneumoniae infection increased Pparg gene expression but led to inhibitory posttranslational modification of PPARγ.
  • Both cadmium and infection increased ERK activation, promoting PPARγ degradation in macrophages.
  • Mice with PPARγ deletion in macrophages showed exacerbated infection, lung injury, and mortality after cadmium exposure.
  • Inhibition of ERK activation protected mice from lung injury.
  • Human subjects in high cadmium areas exhibited increased BAL fluid cadmium, barrier dysfunction, and ERK-mediated PPARγ inhibition.

Conclusions:

  • Impaired PPARγ activation in monocyte-derived macrophages exacerbates lung injury and LRTIs severity.
  • ERK activation is a key mediator of cadmium- and infection-induced PPARγ inhibition.
  • Targeting the ERK-PPARγ pathway may offer therapeutic strategies for heavy metal-associated lung diseases.